Evidence map›Paper›PMID 39234912›Full record

Trial reportReviews on recent clinical trials2025

Impact of Upright Position during the First Stage of Labour on Maternal Outcomes: A Randomized Controlled Trial.

Kamlesh Rani, Ramya Kundayi Ravi, Vijeta Attri, Harpreet Kaur, Bharat Pareek, Priya Baby

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Reviews on recent clinical trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kamlesh RaniRattan Professional College of Nursing, Mohali, Punjab, India.ORCID 0009-0001-6072-4460
Ramya Kundayi RaviRAK College of Nursing, RAK Medical and Health Sciences University, Ras Al Khaimah, 11172, UAE.ORCID 0000-0002-1707-1142
Vijeta AttriKailash Institute of Health and Science, Chandikotla, HR, India.ORCID 0000-0001-9023-4115
Harpreet KaurMM College of Nursing, MMU, Kumarhatti, Solan, H.P, India.ORCID 0000-0001-9706-8965
Bharat PareekSPHE College of Nursing, Gharuan, Mohali, India.ORCID 0000-0001-5166-7364
Priya BabyLecturer at College of Nursing, NIMHANS, Bangalore, India.ORCID 0000-0001-8988-2334

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal position during delivery can affect the physiology of labour and the mechanics of childbirth.

objectiveThe study aimed to evaluate the impact of an upright position during the first stage of labour on maternal outcomes.

methodsThis parallel group randomised control trial was conducted from April to June 2020 among 60 women (30 each in the experimental and control groups) admitted to the selected hospital in Punjab, India. Women who entered the active stage of labour naturally with a single live foetus in cephalic presentation, aged 18-45 years, and with normal body mass index were randomly assigned either to the experimental or control group using a concealed envelope method. Women in the experimental group were informed and encouraged to adopt the upright position, while those in the control group received the standard routine care during the first stage of labour. The effectiveness of upright positions during the first stage of labour was assessed in terms of duration of the first, second, and third stages of labour, mode of delivery, and perineal lacerations. Outcome assessors were blinded to the intervention. The differences in the groups were evaluated by mean, median, frequency, percentage, Chi-square, and t-test.

resultsThe results of 60 women were analysed. Women in the experimental group experienced a significant reduction in the incidence of instrumental delivery (p =0.005), perineal laceration (p =0.001), and duration of the first stage (p =0.0001) and third stage (p =0.0001) of labour compared to those in the control group. No harm was reported across the study groups.

conclusionThis study urges nurses and midwives to recommend the use of upright positions during the first stage of labour to reduce the duration of labour and incidence of perineal laceration among women.

Indexed as

Delivery, ObstetricLabor Stage, FirstPatient PositioningPostureStanding PositionAdolescentAdultFemaleHumansIndiaLacerationsMiddle AgedPerineumPregnancyPregnancy OutcomeYoung AdultChildbirthinstrumental delivery.labourmaternal outcomesperineal lacerationupright position

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.